Provider Demographics
NPI:1932739786
Name:MOREAU, LINDSAY (ND)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:MOREAU
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 PIONEER TRL
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-5493
Mailing Address - Country:US
Mailing Address - Phone:262-312-4401
Mailing Address - Fax:
Practice Address - Street 1:N64W24801 MAIN ST
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-2652
Practice Address - Country:US
Practice Address - Phone:262-372-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-21
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty